HCPCS code J2246 — Inj, micafungin (baxter). Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

J2246

Active

Inj, micafungin (baxter)

Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2024
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J2246 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 150
Outpatient Hospital 150
Practitioner Services 150

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
00338-9051-12 Micafungin In Sodium Chloride
00338-9053-12 Micafungin In Sodium Chloride
00338-9055-10 Micafungin In Sodium Chloride

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2024-Q3
    Inj, micafungin (baxter)